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不同口腔屏障膜对牙种植患者引导骨再生疗效和安全性的影响:一项系统评价与Meta分析

Effects of different oral barrier membranes on the efficacy and safety of guided bone regeneration in patients with dental implants: a systematic review and meta-analysis.

作者信息

Tang Haozhou, Zhang Yonghui

机构信息

Department of Stomatology, Xingyi People's Hospital, Xingyi, China.

The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, China.

出版信息

Acta Odontol Scand. 2025 Jun 10;84:318-331. doi: 10.2340/aos.v84.43758.

Abstract

OBJECTIVE

This study aims to systematically evaluate the effects of different oral barrier membranes on bone regeneration, focusing on their clinical efficacy and safety during dental implant procedures.

METHODS

A comprehensive search was conducted in PubMed, EMBASE, ScienceDirect, Cochrane Library, CNKI, VIP, and CBM databases for case-control and cohort studies published between January 2002 and March 2025. Two independent researchers screened and extracted data, and statistical analysis was performed using RevMan 5.3. The study was registered in PROSPERO (CRD492390).

RESULTS

A total of 11 clinical controlled and cohort studies with 1,003 patients were included. The absorbable membrane group demonstrated a significantly higher success rate (p < 0.05), greater bone graft thickness (p < 0.05), and fewer adverse reactions (p < 0.05). Meta-analysis showed no significant difference in osseointegration, total mineralised tissue, and non-mineralised tissue (p > 0.05).

CONCLUSION

Absorbable oral barrier membranes exhibit superior safety and efficacy profiles, making them a preferred choice for guided bone regeneration. However, further studies with higher methodological quality and longer follow-up durations are required.

摘要

目的

本研究旨在系统评估不同口腔屏障膜对骨再生的影响,重点关注其在牙种植手术中的临床疗效和安全性。

方法

在PubMed、EMBASE、ScienceDirect、Cochrane图书馆、中国知网、维普和中国生物医学文献数据库中全面检索2002年1月至2025年3月发表的病例对照研究和队列研究。两名独立研究人员筛选并提取数据,使用RevMan 5.3进行统计分析。该研究已在PROSPERO(CRD492390)注册。

结果

共纳入11项临床对照研究和队列研究,涉及1003例患者。可吸收膜组的成功率显著更高(p<0.05),骨移植厚度更大(p<0.05),不良反应更少(p<0.05)。Meta分析显示,在骨整合、总矿化组织和非矿化组织方面无显著差异(p>0.05)。

结论

可吸收口腔屏障膜具有更高的安全性和疗效,使其成为引导骨再生的首选。然而,需要进一步开展方法学质量更高、随访时间更长的研究。

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